The damaging myth that doctors hasten the deaths of organ donors.

Do you have a real-life do-gooding dilemma? Please send it to ask.my.goodness@gmail.com, and Patty and Sandy will try to answer it.

Dear Patty and Sandy,

For years I've been debating becoming an organ donor. However, I resist because I keep hearing the rumor that people who have this designation on their driver's licenses receive less than full treatment by EMTs so that their organs can be harvested. Is this true? I would love to get this rumor dispelled if it is false.

Bob

Patty:

Bob, your question made me pull out my new driver's license and make sure I reregistered on my last license renewal! (I did.) I'm happy to have a chance to encourage our readers to become  organ donors and dispel this myth, because being an organ donor is a wonderful way to have your last act be one that improves or even saves the life of another. The rumor is false: Emergency-room and trauma doctors are there to support you, the patient, and they are entirely focused on saving your life until they know it's not possible. This myth, and another nine organ donation myths outlined by the Mayo Clinic, is contributing to the gap between the more than 100,000 desperate folks on the waiting list and the 25,630 actual donations in the past year.

What will it take for donations to reach the level of need? We certainly don't need more deaths—there were more than 2.4 million deaths in the United States in 2005. We need more organ donors.

Three simple steps can help us get there. Every reader should follow them today. They will take you less than an hour: First, read the best information you can find for people considering organ donation. We recommend this brief fact sheet from the Journal of the American Medical Association. Second, complete or update your donor registration through an easy online registry like this one from the National Transplant Society (or via your driver's license renewal process). Third—this may be most important—share your decision with your loved ones, and ask for their cooperation in ensuring that your wishes are followed. While the law is different from state to state, your family may end up being asked to make the final decision regardless of whether you are a designated donor. No matter what local law dictates, it will certainly make it an easier decision for your loved ones to support if they are notified of your intentions now rather than later. Sharing your decision might inspire them to register, too. Most of the online registries we looked at have the option to send an e-mail notice to your family. (I sent two myself this morning: I think my family already knew of my intentions, but now they definitely do.) If you'd rather have a little bit more time to discuss, an after-dinner conversation tonight is a great idea, too.

It is estimated that fewer than 50 percent of registered donors' organs are harvested because their family members are concerned or uncooperative and ultimately decide not to consent to the donation. If that were to happen to you, it would mean your last great gift would go unfulfilled. You can prevent that—and perhaps even encourage other gifts to be made—by making sure your family understands and agrees to support your intentions.

Sandy: